Details:

Alternative Title:
J Acquir Immune Defic Syndr
Personal Author:
Shadaker, Shaun ; Magee, Matthew ; Paz-Bailey, Gabriela ; Hoots, Brooke E.
Shadaker, Shaun ; Magee, Matthew ; Paz-Bailey, Gabriela ; Hoots, Brooke E. Less -
Corporate Authors:
for the NHBS Study Group
Description:
Background

Men who have sex with men (MSM) are heterogeneous with respect to sexual behavior. We examined differences in sex behaviors between men who have sex with men and women (MSMW) and men who have sex with men only (MSMO).

Methods

Data for this analysis were from MSM who participated in National HIV Behavioral Surveillance in 2011 and 2014. We used the combined years to evaluate demographic and behavioral differences between MSMW and MSMO. Using log-linked Poisson regression models, adjusted prevalence ratios (aPR) were calculated for behavioral outcomes.

Results

Overall, 2042 (11.9%) participants were classified as MSMW. MSMW were less likely than MSMO to have condomless sex with male partners [aPR 0.77; 95% confidence interval (CI): 0.74 to 0.81] and to have been diagnosed with another sexually transmitted disease (aPR 0.83; 95% CI: 0.72 to 0.95). MSMW were more likely than MSMO to have given money or drugs for sex (aPR 2.85; 95% CI: 2.52 to 3.24) or received money or drugs for sex (aPR 2.64; 95% CI: 2.37 to 2.93) and to ever have injected drugs (aPR 2.05; 95% CI: 1.80 to 2.34). MSMW had more total sex partners (median 6, interquartile range: 4–11 vs. 3, 2–8), casual sex partners (5, 2–10 vs. 3, 1–7), and condomless sex partners (2, 1–4 vs. 1, 0–2) in the last 12 months (P < 0.01 for all comparisons).

Conclusions

MSMW have distinct sexual risk behaviors from MSMO and may contribute to HIV transmission among women. MSMW could benefit from tailored interventions to reduce HIV risk behaviors.


Subject:
[+]
Adult
Bisexuality
Cities
Female
HIV Infections
Homosexuality, Male
Humans
Male
Middle Aged
Patient Acceptance Of Health Care
Prevalence
Risk-Taking
Risk Factors
Sexual Partners
Truth Disclosure
Young Adult

Source:
J Acquir Immune Defic Syndr. 75(Suppl 3):S281-S287
Pubmed ID:
28604429
Pubmed Central ID:
PMC7836745
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHS/United States
Name as Subject:
Behavioral Risk Factor Surveillance System
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:475aafbf8bdf5d3ffdaddcfa8fdcc9013fb431485f222b9f4a9f95b806b543be
File Type:

Supporting Files

• 	NIHMS891816-supplement-NHBS_Study_Group_participants.pdf	pdf
  	nihms891816.nxml	xml

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